4LV-19478-86311

5 vaccinations 8 coded responses 24 check-ins 8 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 296 / SC
Registered: 2021-01-14

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Pfizer-BioNTech
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-21
Survey response — day 7, dose 1
MedDRA: No adverse event, SARS-CoV-2 test negative — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Moderate · Healthcare visit (other): Covid quick test. Negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Survey response — day 14, dose 1
MedDRA: Arthralgia, Malaise, Pyrexia — Feeling: Good · Be unable to work

Free text: A week ago Thursday woke up feeling very general malaise, painfully achy joints. Felt worse and worse. Fever went up to 101. Woke up the next day feeling fine with normal temp and just normal ache and pains. All better. Felt good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Feel bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Nasopharyngitis, Somnolence — Feeling: Poor · Be unable to do your normal daily activities

Free text: Excess sleepiness. Head cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Feeling abnormal, Medical counselling, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Feeling bad. Short of breath. Believe it is a sinus infection. · Healthcare visit (other): Dr. called in prescription

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Survey response — day 42, dose 2
MedDRA: Sinusitis — Feeling: Fair

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Call 1 — Left Voicemail
2021-05-21
Call successful
Does not wish to fill out VAERS report
2021-09-25
Dose 3 — Pfizer-BioNTech
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-30
Dose 4 — Pfizer-BioNTech
2022-10-10
Dose 5 — Pfizer-BioNTech
2022-10-21
Survey response — day 7, dose 5
MedDRA: No adverse event — Feeling: Good · Joint pains

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-07
Survey response — day 28, dose 5
MedDRA: Sinusitis — Feeling: Good

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-04-10
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No
4	2022-06-30	Pfizer-BioNTech	No
5	2022-10-10	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Moderate

Healthcare visit (other): Covid quick test. Negative

Release 3 — day 14, dose 1

2021-01-30

Symptoms: A week ago Thursday woke up feeling very general malaise, painfully achy joints. Felt worse and worse. Fever went up to 101. Woke up the next day feeling fine with normal temp and just normal ache and pains. All better. Felt good.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Feel bad.

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Excess sleepiness. Head cold.

Release 4 — day 21, dose 2

2021-03-02

Symptoms: Feeling bad. Short of breath. Believe it is a sinus infection.

Healthcare visit (other): Dr. called in prescription

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Sinus infection

Release 12 — day 7, dose 5

2022-10-21

Systemic reaction (other): No

Release 12 — day 28, dose 5

2022-11-07

Symptoms: Sinus infection

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Medical counselling	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	No adverse event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release